Evolution Healthcare | |
2332 Nw Irving St Portland OR 97210-3225 | |
(503) 222-1865 | |
Not Available |
Full Name | Evolution Healthcare |
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Speciality | Clinic/center - Primary Care |
Location | 2332 Nw Irving St, Portland, Oregon |
Authorized Official Name and Position | Brad Farra (OWNER) |
Authorized Official Contact | 5039756566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evolution Healthcare 4279 Se Harvey St Milwaukie OR 97222-5816 Ph: (503) 975-6566 | Evolution Healthcare 2332 Nw Irving St Portland OR 97210-3225 Ph: (503) 222-1865 |
NPI Number | 1730596511 |
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Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730596511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 3851 (Oregon) | Primary |
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